Individual
MARK VERLYN SKIDMORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 E HAMPTON AVE, #202, ENGLEWOOD, CO 80113-2654
(303) 789-1940
(303) 789-2132
Mailing address
7463 E 8TH PL, DENVER, CO 80230
(720) 216-0385
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
161411
CO
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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